Cortical thickness of less than 2.5 mm |
Pre- or postoperative bone irradiation, precluding osteointegration |
Extraarticular resection of knee (an articulated implant, such as the Burstein-Lane® implant, would be indicated) |
Inadequate or unreconstructable soft tissue envelope (a very low-profile implant, such as the GUEPAR® implant, would be indicated) |
Metastatic disease that mandates immediate weightbearing (precludes the requisite 3 months of protected weightbearing) |
Inability to cooperate with the postoperative program of early, protected weightbearing |